A Mighty Fortress is Our God VBS Registration
July 31-August 4 from 8:45am-11:45am at St. Paul Lutheran Church-Lake Mills
Parent ('s) Name (s) *
Your answer
Family Name (Last Name) *
Your answer
Daytime Phone Contact *
Your answer
Address (number, street, city, state, zip) *
Your answer
Secondary Phone number in case of an emergency *
Your answer
E-mail Address *
(will be kept private-used for communicating prior and during the week)
Your answer
Child 1 Name AND grade going into in the Fall *
VBS is for children entering 3k to 6th grade in Fall 2016
Your answer
Child 2 Name AND grade going into in the Fall
Your answer
Child 3 Name AND grade going into in the Fall
Your answer
Special Concerns for us to know about
(allergies, medical conditions, etc.)
Your answer
Further information
(i.e. more children name/ages, other information, etc.)
Your answer
How Did you Find out About VBS at St. Paul?
Do you have a Home Church?
By entering my initials and clicking submit below, I give St. Paul VBS Staff permission to make a decision based on Christian values in case of an emergency. I also grant permission for my child(ren) to be photographed for use in promotional materials. *
Enter initials in box
Your answer
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